Individual
LACARA GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLMFT
Contact information
Practice address
15056 COLBERT ST, 03, ROMULUS, MI 48174
(313) 401-2655
Mailing address
7310 WOODWARD AVE STE 601, DETROIT, MI 48202-3165
(313) 896-1444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
4101006791
MI
Other
Enumeration date
02/03/2016
Last updated
03/11/2021
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